LISA J CARMACK

LOS ANGELES, CA
NPI1689010316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY18813)
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
-- LISA J CARMACK
3787 S VERMONT AVE
LOS ANGELES, CA 90007-4203
Phone number: 323-373-2400
Mailing Address
-- LISA J CARMACK
3787 S VERMONT AVE
LOS ANGELES, CA 90007-4203
Phone number: 323-373-2400